#aad? ,,congress  #a/ ,session  ,s4     
#abjc  ,,an ,,act  ,to am5d title #ch1  
,unit$ ,/ates ,code1 to improve !       
furni%+ ( heal? c>e to vet]ans by !     
,dep>tm5t ( ,vet]ans ,affairs1 to       
improve ! process+ by ! ,dep>tm5t (     
claims = disability comp5sation1 & = o!r
 purposes4  #a4 ,%ort title2 table (    
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! #ba/ ,c5tury ,vet]ans       
,b5efits ,deliv]y & ,o!r ,improvem5ts   
,act4  7b7 ,table ( cont5ts ,! table (  
cont5ts = ?is ,act is z foll[s3 ,sec4   
#a4 ,%ort title2 table ( cont5ts4,,title
 ,i--,heal? c>e matters,subtitle        
,a--,expansion & improvem5t ( heal? c>e 
benefits,sec4 #aja4 ,improv$ access to  
appropriate immunizations =             
vet]ans4,sec4 #ajb4 ,expansion (        
provision ( *iropractic c>e & s]vices to
 vet]ans4,subtitle ,b--,heal? c>e       
administration,sec4 #aaa4 ,expansion (  
availability ( pro/hetic & or?otic c>e =
 vet]ans4,sec4 #aab4 ,reports on public 
access to ,dep>tm5t ( ,vet]ans ,affairs 

rese>*4,sec4 #aac4 ,revival (           
,int]m$iate ,c>e ,te*nician ,pilot      
,program ( ,dep>tm5t ( ,vet]ans         
,affairs4,sec4 #aad4 ,transf] ( heal?   
c>e provid] cr$5tial+ data f ,secret>y (
 ,def5se to ,secret>y ( ,vet]ans        
,affairs4,subtitle ,c--,improvem5t (    
m$ical workforce,sec4 #aba4 ,inclusion (
 m5tal heal? pr(essionals 9 education & 
tra9+ program = heal? p]sonnel ( !      
,dep>tm5t ( ,vet]ans ,affairs4,sec4     
#abb4 ,expansion ( qualifications =     
lic5s$ m5tal heal? c\nselors ( !        
,dep>tm5t ( ,vet]ans ,affairs to include
 doctoral degrees4,sec4 #abc4 ,report on
 m$ical work=ce ( ! ,dep>tm5t ( ,vet]ans
 ,affairs4,,title ,,ii--,comp5sation &  
o!r b5efits matters,subtitle            
,a--,b5efits claims submission,sec4     
#bja4 ,p>ticipation ( vet]ans s]vice    
organizations 9 ,transition ,assi/ance  
,program4,sec4 #bjb4 ,requirem5t t      
,secret>y ( ,vet]ans ,affairs publi% !  
av]age "t requir$ to adjudicate timely &
 untimely appeals4,sec4 #bjc4           

,det]m9ation ( mann] ( appe>ance = he>+s
 be=e ,bo>d ( ,vet]ans'                 
,appeals4,subtitle ,b--,practices (     
regional (fices relat+ to b5efits       
claims,sec4 #baa4 ,comptroll] ,g5]al    
review ( claims process+ p]=mance (     
regional (fices ( ,vet]ans ,b5efits     
,adm9i/ration4,sec4 #bab4 ,inclusion 9  
annual budget submission ( in=mation on 
capacity ( ,vet]ans ,b5efits            
,adm9i/ration to process b5efits        
claims4,sec4 #bac4 ,report on /aff+     
levels at regional (fices ( ,dep>tm5t ( 
,vet]ans ,affairs aft] transition to    
,national ,"w ,queue4,sec4 #bad4 ,annual
 report on progress 9 implem5t+ ,vet]ans
 ,b5efits ,managem5t ,sy/em4,sec4 #bae4 
,report on plans ( ,secret>y ( ,vet]ans 
,affairs to r$uce inv5tory ( non-rat+   
workload4,sec4 #baf4 ,s5se ( ,congress  
on increas$ transp>5cy relat+ to claims 
= b5efits & appeals ( decisions relat+  
to b5efits 9 ,monday ,morn+ ,workload   
,report4,subtitle ,c--,o!r b5efits      
matters,sec4 #bba4 ,modification ( pilot

 program = use ( contract physicians =  
disability exam9ations4,sec4 #bbb4      
,developm5t ( proc$ures to increase     
coop]ation ) ,national ,gu>d            
,bureau4,sec4 #bbc4 ,review (           
det]m9ation ( c]ta9 s]vice 9 ,philipp9es
 dur+ ,_w ,w> ,,ii4,sec4 #bbd4 ,s5se (  
,congress on submittal ( in=mation      
relat+ to claims = disabilities incurr$ 
or aggravat$ by milit>y sexual          
trauma4,,title ,,iii--,education        
matters,sec4 #cja4 ,ret5tion (          
entitlem5t to educational assi/ance dur+
 c]ta9 additional p]iods ( active       
duty4,sec4 #cjb4 ,reports on progress ( 
/ud5ts receiv+ ,po/-#i_/aa ,educational 
,assi/ance4,sec4 #cjc4 ,secret>y (      
,def5se report on level ( education     
atta9$ by ^? :o transf] entitlem5t to   
,po/-#i_/aa educational assi/ance4,sec4 
#cjd4 ,reports on educational levels    
atta9$ by c]ta9 memb]s ( ! ,arm$ ,=ces  
at "t ( sep>ation f ! ,arm$             
,=ces4,,title ,,iv--,employm5t &        
transition matters,sec4 #dja4 ,requir$  

coord9ation betwe5 ,directors =         
,vet]ans' ,employm5t & ,tra9+ ) ,/ate   
dep>tm5ts ( labor & vet]ans             
affairs4,sec4 #djb4 ,report on job fairs
 att5d$ by "o-/op c>e] c5t] employees at
 :i* su* employees enc\nt] vet]ans4,sec4
 #djc4 ,review ( *all5ges fac$ by       
employ]s seek+ to hire vet]ans & %>+ (  
in=mation among ,f$]al ag5cies t s]ve   
vet]ans4,sec4 #djd4 ,review (           
,transition ,,gps ,program ,core        
,curriculum4,sec4 #dje4 ,modification ( 
requirem5t = provision ( presep>ation   
c\nsel+4,,title ,v--,vet]an small       
bus9ess matters,sec4 #eja4 ,modification
 ( treatm5t "u contract+ goals &        
pref]5ces ( ,dep>tm5t ( ,vet]ans        
,affairs = small bus9esses own$ by      
vet]ans ( small bus9esses aft] dea? (   
disabl$ vet]an own]s4,sec4 #ejb4        
,treatm5t ( bus9esses aft] dea?s (      
s]vicememb]-own]s = purposes ( ,dep>tm5t
 ( ,vet]ans ,affairs contract+ goals &  
pref]5ces4,,title ,,vi--,burial         
matters,sec4 #fja4 ,dep>tm5t ( ,vet]ans 

,affairs /udy on matt]s relat+ to burial
 ( unclaim$ rema9s ( vet]ans 9 national 
cemet]ies4,,title ,,vii--,o!r           
matters,sec4 #gja4 ,honor+ z vet]ans    
c]ta9 p]sons :o p]=m$ s]vice 9 ! res]ve 
compon5ts ( ! ,arm$ ,=ces4,sec4 #gjb4   
,report on ,laotian milit>y support (   
,arm$ ,=ces ( ! ,unit$ ,/ates dur+      
,vietnam ,w>4,sec4 #gjc4 ,re/oration (  
prior report+ fee multipli]s4  ,i ,heal?
 c>e matt]s  ,a ,expansion & improvem5t 
( heal? c>e b5efits  #aja4 ,improv$     
access to appropriate immunizations =   
vet]ans  7a7 ,inclusion ( recomm5d$     
adult immunizations z m$ical s]vices    
7#a7 ,cov]$ b5efit ,subp>agraph 7,f7 (  
section #agja7i7 ( title #ch1 ,unit$    
,/ates ,code1 is am5d$ to read z foll[s3
  7,f7 immunizations aga9/ infecti\s    
diseases1 includ+ ea* immunization on ! 
recomm5d$ adult immunization s*$ule at !
 "t su* immunization is indicat$ on t   
s*$ule2  4  7#b7 ,recomm5d$ adult       
immunization s*$ule def9$ ,section #agja
 ( su* title is am5d$ by add+ aft]      

p>agraph 7#i7 ! foll[+ new p>agraph3    
7#aj7 ,! t]m recomm5d$ adult            
immunization s*$ule means ! s*$ule      
e/abli%$ 7& p]iodically review$ &1 z    
appropriate1 revis$7 by ! ,advisory     
,committee on ,immunization ,practices  
e/abli%$ by ! ,secret>y ( ,heal? &      
,human ,s]vices & delegat$ to ! ,c5t]s =
 ,disease ,control & ,prev5tion4  4  7b7
 ,inclusion ( recomm5d$ adult           
immunizations 9 annual report ,section  
#agjd7a77;,a7 ( su* title is am5d$--    
7#a7 9 clause 7i71 by /rik+ & at ! end2 
7#b7 9 clause 7ii71 by /rik+ ! p]iod at 
! end & ins]t+ 2 &2 &  7#c7 by ins]t+   
aft] clause 7ii7 ! foll[+ new clause3   
7iii7 to provide vet]ans ea*            
immunization on ! recomm5d$ adult       
immunization s*$ule at ! "t su*         
immunization is indicat$ on t s*$ule4  4
  7c7 ,report to ,congress  7#a7 ,9     
g5]al ,n lat] ?an two ye>s aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,secret>y (   
,vet]ans ,affairs %all submit to !      
,committee on ,vet]ans' ,affairs ( !    

,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! developm5t & implem5tation  
by ! ,dep>tm5t ( ,vet]ans ,affairs (    
quality measures & metrics1 includ+     
t>gets = compliance1 to ensure t vet]ans
 receiv+ m$ical s]vices "u *apt] #ag (  
title #ch1 ,unit$ ,/ates ,code1 receive 
ea* immunization on ! recomm5d$ adult   
immunization s*$ule at ! "t su*         
immunization is indicat$ on t s*$ule4   
7#b7 ,recomm5d$ adult immunization      
s*$ule def9$ ,9 ?is subsection1 ! t]m   
recomm5d$ adult immunization s*$ule has 
! mean+ giv5 t t]m 9 section #agja7aj7 (
 title #ch1 ,unit$ ,/ates ,code1 z add$ 
by subsection 7a77#b74  #ajb4 ,expansion
 ( provision ( *iropractic c>e & s]vices
 to vet]ans  7a7 ,program = provision ( 
*iropractic c>e & s]vices to vet]ans    
,section #bjd7;c7 ( ! ,dep>tm5t (       
,vet]ans ,affairs ,heal? ,c>e ,programs 
,enhancem5t ,act ( #bjja 7,public ,law  
#ajg-ace2 #aae ,/at4 #bdei2 #ch         
,u4,s4,c4 #agaj note7 is am5d$--  7#a7  

by ins]t+ 7#a7 be=e ,! program2 &  7#b7 
by add+ at ! end ! foll[+ new p>agraph3 
7#b7 ,! program %all be c>ri$ out at n  
few] ?an two m$ical c5t]s or cl9ics 9   
ea* ,vet]ans ,integrat$ ,s]vice ,network
 by n lat] ?an two ye>s aft] ! date ( ! 
enactm5t ( ! #ba/ ,c5tury ,vet]ans      
,b5efits ,deliv]y & ,o!r ,improvem5ts   
,act1 & at n few] ?an #ej p]c5t ( all   
m$ical c5t]s 9 ea* ,vet]ans ,integrat$  
,s]vice ,network by n lat] ?an ?ree ye>s
 aft] su* date ( enactm5t4  4  7b7      
,exp&$ *iropractor s]vices available to 
vet]ans  7#a7 ,m$ical s]vices ,p>agraph 
7#f7 ( section #agja ( title #ch1 ,unit$
 ,/ates ,code1 is am5d$ by add+ at ! end
 ! foll[+ new subp>agraph3  7,h7        
,*iropractic s]vices4  4  7#b7          
,rehabilitative s]vices ,p>agraph 7#h7 (
 su* section is am5d$ by ins]t+         
*iropractic1 aft] c\nsel+14  7#c7       
,prev5tive heal? s]vices ,p>agraph 7#i7 
( su* section is am5d$-- 7,a7 by        
r$esignat+ subp>agraphs 7,f7 ?r\gh 7,k7 
z subp>agraphs 7,g7 ?r\gh 7,l71         

respectively2 &  7,b7 by ins]t+ aft]    
subp>agraph 7,e7 ! foll[+ new           
subp>agraph 7,f73  7,f7 p]iodic &       
prev5tive *iropractic exam9ations &     
s]vices2  4  ,b ,heal? c>e adm9i/ration 
#aaa4 ,expansion ( availability (       
pro/hetic & or?otic c>e = vet]ans  7a7  
,e/abli%m5t or expansion ( advanc$      
degree programs ,to exp& availability ( 
provision ( c>e ,! ,secret>y ( ,vet]ans 
,affairs %all "w ) in/itutions ( high]  
education to develop p>tn]%ips = !      
e/abli%m5t or expansion ( programs (    
advanc$ degrees 9 pro/hetics & or?otics 
9 ord] to improve & enhance !           
availability ( high quality pro/hetic & 
or?otic c>e = vet]ans4  7b7 ,report ,n  
lat] ?an "o ye> aft] ! effective date   
specifi$ 9 subsection 7d71 ! ,secret>y  
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report sett+ =? a plan
 = c>ry+ out subsection 7a74 ,!         
,secret>y %all develop ! plan 9         

consultation ) vet]ans s]vice           
organizations1 in/itutions ( high]      
education ) accr$it$ degree programs 9  
pro/hetics & or?otics1 & repres5tatives 
( ! pro/hetics & or?otics field4  7c7   
,fund+  7#a7 ,au?orization (            
appropriations ,!re is h]eby au?oriz$ to
 be appropriat$ = fiscal ye> #bjag = !  
,dep>tm5t ( ,vet]ans ,affairs1          
#e1jjj1jjj to c>ry out ?is section4     
7#b7 ,availability ,! am\nt au?oriz$ to 
be appropriat$ by p>agraph 7#a7 %all    
rema9 available = exp5diture until      
,septemb] #cj1 #bjai4  7d7 ,effective   
date ,?is section %all take effect on ! 
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  #aab4 ,reports on 
public access to ,dep>tm5t ( ,vet]ans   
,affairs rese>*  7a7 ,9 g5]al ,n lat]   
?an #ahj days aft] ! date ( ! enactm5t (
 ?is ,act & n lat] ?an "o ye> aft] !    
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   

,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on increas+    
public access to sci5tific publications 
& digital data f rese>* fund$ by !      
,dep>tm5t ( ,vet]ans ,affairs4  7b7     
,cont5ts ,! report submitt$ "u          
subsection 7a7 %all include ! foll[+3   
7#a7 ,id5tification ( :]e on ! ,int]net 
website ( ! ,dep>tm5t ! public w be able
 to access results ( rese>* fund$ by !  
,dep>tm5t or be ref]r$ to o!r s\rces to 
access ! results ( rese>* fund$ by !    
,dep>tm5t4  7#b7 ,a description ( !     
progress made by ! ,dep>tm5t 9 meet+    
public access requirem5ts set =? 9 !    
,f$]al ,regi/] notice entitl$ ,policy & 
,implem5tation ,plan = ,public ,access  
to ,sci5tific ,publications & ,digital  
,data f ,rese>* ,fund$ by ! ,dep>tm5t ( 
,vet]ans ,affairs 7#hj ,f$4 ,reg4       
#fjgea71 includ+ ! foll[+3  7,a7        
,compliance ( ,dep>tm5t inve/igators )  
requirem5ts relat+ to ensur+ t rese>*   
fund$ by ! ,dep>tm5t is accessible by ! 
public4  7,b7 ,ensur+ data managem5t    

plans ( ! ,dep>tm5t include provisions =
 long-t]m pres]vation ( ! sci5tific data
 result+ f rese>* fund$ by ! ,dep>tm5t4 
7#c7 ,an explanation ( ! factors us$ to 
evaluate ! m]it ( data managem5t plans (
 rese>* fund$ by ! ,vet]ans ,heal?      
,adm9i/ration4  7#d7 ,an explanation ( !
 process ( ! ,dep>tm5t 9 effect t       
enables /akehold]s to petition a *ange  
to ! emb>go p]iod = a specific field & !
 factors consid]$ dur+ su* process4     
#aac4 ,revival ( ,int]m$iate ,c>e       
,te*nician ,pilot ,program ( ,dep>tm5t (
 ,vet]ans ,affairs  7a7 ,revival ,!     
,secret>y ( ,vet]ans ,affairs %all      
revive ! ,int]m$iate ,c>e ,te*nician    
,pilot ,program ( ! ,dep>tm5t ( ,vet]ans
 ,affairs t 0 c>ri$ out by ! ,secret>y  
betwe5 ,janu>y #bjac & ,febru>y #bjad4  
7b7 ,te*nicians  7#a7 ,selection ,!     
,secret>y %all select n less ?an #gb    
int]m$iate c>e te*nicians to p>ticipate 
9 ! pilot program4  7#b7 ,facilities    
7,a7 ,9 g5]al ,any int]m$iate c>e       
te*nician hir$ pursuant to p>agraph 7#a7

 may be assign$ to a m$ical facility ( !
 ,dep>tm5t z det]m9$ by ! ,secret>y =   
purposes ( ?is section4  7,b7 ,priority 
,9 assign+ int]m$iate c>e te*nicians "u 
subp>agraph 7,a71 ! ,secret>y %all give 
priority to facilities at :i* vet]ans h 
! longe/ wait times = appo9tm5ts = !    
receipt ( hospital c>e or m$ical s]vices
 f ! ,dep>tm5t1 z det]m9$ by ! ,secret>y
 = purposes ( ?is section4  7c7         
,t]m9ation ,! ,secret>y %all c>ry out ! 
pilot program "u subsection 7a7 dur+ !  
?ree-ye> p]iod beg9n+ on ! effective    
date specifi$ 9 subsection 7e74  7d7    
,hospital c>e & m$ical s]vices def9$ ,9 
?is section1 ! t]ms hospital c>e &      
m$ical s]vices h ! mean+s giv5 su* t]ms 
9 section #agja ( title #ch1 ,unit$     
,/ates ,code4  7e7 ,effective date ,?is 
section %all take effect on ! date t is 
"o ye> aft] ! date ( ! enactm5t ( ?is   
,act4  #aad4 ,transf] ( heal? c>e       
provid] cr$5tial+ data f ,secret>y (    
,def5se to ,secret>y ( ,vet]ans ,affairs
  7a7 ,9 g5]al ,9 a case 9 :i* !        

,secret>y ( ,vet]ans ,affairs hires a   
cov]$ heal? c>e provid]1 ! ,secret>y (  
,def5se %all1 aft] receiv+ a reque/ f ! 
,secret>y ( ,vet]ans ,affairs = !       
cr$5tial+ data ( ! ,secret>y ( ,def5se  
relat+ to su* heal? c>e provid]1 transf]
 to ! ,secret>y ( ,vet]ans ,affairs su* 
cr$5tial+ data4  7b7 ,cov]$ heal? c>e   
provid]s ,= purposes ( ?is section1 a   
cov]$ provid] is a heal? c>e provid]    
:o-- 7#a7 is or 0 employ$ by ! ,secret>y
 ( ,def5se2  7#b7 provides or provid$   
heal? c>e relat$ s]vices z "p ( su*     
employm5t2 &  7#c7 0 cr$5tial$ by !     
,secret>y ( ,def5se4  7c7 ,policies &   
regulations ,! ,secret>y ( ,vet]ans     
,affairs & ! ,secret>y ( ,def5se %all   
e/abli% su* policies & promulgate su*   
regulations z may be necess>y to c>ry   
out ?is section4  7d7 ,cr$5tial+ def9$  
,9 ?is section1 ! t]m cr$5tial+ means ! 
sy/ematic process ( scre5+ & evaluat+   
qualifications & o!r cr$5tials1 includ+ 
lic5sure1 requir$ education1 relevant   
tra9+ & exp]i5ce1 & curr5t compet5ce &  

heal? /atus4  7e7 ,effective date ,?is  
section %all take effect on ! date t is 
"o ye> aft] ! date ( ! enactm5t ( ?is   
,act4  #aae4 ,exam9ation & treatm5t by  
,dep>tm5t ( ,vet]ans ,affairs = em]g5cy 
m$ical conditions & wom5 9 labor  7a7 ,9
 g5]al ,sub*apt] ,,viii ( *apt] #ag (   
title #ch1 ,unit$ ,/ates ,code1 is am5d$
 by ins]t+ aft] section #aghd ! foll[+  
new section3  #aghd;,a4 ,exam9ation &   
treatm5t = em]g5cy m$ical conditions &  
wom5 9 labor  7a7 ,9 g5]al ,9 ! case ( a
 hospital ( ! ,dep>tm5t t has an em]g5cy
 dep>tm5t1 if any individual comes to ! 
hospital or ! campus ( ! hospital & a   
reque/ is made on behalf ( ! individual 
= exam9ation or treatm5t = a m$ical     
condition1 ! hospital mu/ provide = an  
appropriate m$ical scre5+ exam9ation )9 
! capability ( ! em]g5cy dep>tm5t1      
includ+ ancill>y s]vices r\t9ely        
available to ! em]g5cy dep>tm5t1 to     
det]m9e :e!r or n an em]g5cy m$ical     
condition exi/s4  7b7 ,necess>y /abiliz+
 treatm5t = em]g5cy m$ical conditions & 

labor  7#a7 ,if any individual comes to 
a hospital ( ! ,dep>tm5t t has an       
em]g5cy dep>tm5t or ! campus ( su* a    
hospital & ! hospital det]m9es t !      
individual has an em]g5cy m$ical        
condition1 ! hospital mu/ provide ei!r--
  7,a7 )9 ! /aff & facilities available 
at ! hospital1 = su* fur!r m$ical       
exam9ation & su* treatm5t z may be      
requir$ to /abilize ! m$ical condition2 
or  7,b7 = transf] ( ! individual to    
ano!r m$ical facility 9 accordance )    
subsection 7c74  7#b7 ,a hospital is    
deem$ to meet ! requirem5t ( p>agraph   
7#a77;,a7 ) respect to an individual if 
! hospital (f]s ! individual ! fur!r    
m$ical exam9ation & treatm5t describ$ 9 
t p>agraph & in=ms ! individual 7or a   
p]son act+ on behalf ( ! individual7 ( !
 risks & b5efits to ! individual ( su*  
exam9ation & treatm5t1 b ! individual   
7or a p]son act+ on behalf ( !          
individual7 refuses to cons5t to !      
exam9ation & treatm5t4 ,! hospital %all 
take all reasonable /eps to secure !    

writt5 in=m$ cons5t ( ! individual 7or  
p]son7 to refuse su* exam9ation &       
treatm5t4  7#c7 ,a hospital is deem$ to 
meet ! requirem5t ( p>agraph 7#a7 )     
respect to an individual if ! hospital  
(f]s to transf] ! individual to ano!r   
m$ical facility 9 accordance )          
subsection 7c7 & in=ms ! individual 7or 
a p]son act+ on behalf ( ! individual7 (
 ! risks & b5efits to ! individual ( su*
 transf]1 b ! individual 7or a p]son    
act+ on behalf ( ! individual7 refuses  
to cons5t to ! transf]4 ,! hospital %all
 take all reasonable /eps to secure !   
writt5 in=m$ cons5t ( ! individual 7or  
p]son7 to refuse su* transf]4  7c7      
,re/rict+ transf]s until individual     
/abiliz$  7#a7 ,if an individual at a   
hospital ( ! ,dep>tm5t has an em]g5cy   
m$ical condition t has n be5 /abiliz$1 !
 hospital may n transf] ! individual    
unless--  7,a7 7i7 ! individual 7or a   
legally responsible p]son act+ on behalf
 ( ! individual71 aft] be+ in=m$ ( !    
obligations ( ! hospital "u ?is section 

& ( ! risk ( transf]1 reque/s1 9 writ+1 
transf] to ano!r m$ical facility2  7ii7 
a physician ( ! ,dep>tm5t has sign$ a   
c]tification t1 bas$ ^u ! in=mation     
available at ! "t ( transf]1 ! m$ical   
b5efits reasonably expect$ f ! provision
 ( appropriate m$ical treatm5t at ano!r 
m$ical facility outweigh ! increas$     
risks to ! individual &1 9 ! case (     
labor1 to ! unborn *ild f effect+ !     
transf]2 or  7iii7 if a physician ( !   
,dep>tm5t is n physically pres5t 9 !    
em]g5cy dep>tm5t at ! "t an individual  
is transf]r$1 a qualifi$ m$ical p]son 7z
 def9$ by ! ,secret>y = purposes ( ?is  
section7 has sign$ a c]tification       
describ$ 9 clause 7ii7 aft] a physician 
( ! ,dep>tm5t1 9 consultation ) ! p]son1
 has made ! det]m9ation describ$ 9 su*  
clause1 & subsequ5tly c\nt]signs !      
c]tification2 &  7,b7 ! transf] is an   
appropriate transf] to t facility4  7#b7
 ,a c]tification describ$ 9 clause 7ii7 
or 7iii7 ( p>agraph 7#a77;,a7 %all      
include a summ>y ( ! risks & b5efits ^u 

:i* ! c]tification is bas$4  7#c7 ,=    
purposes ( p>agraph 7#a77;,b71 an       
appropriate transf] to a m$ical facility
 is a transf]-- 7,a7 9 :i* ! transf]r+  
hospital provides ! m$ical treatm5t )9  
its capacity t m9imizes ! risks to !    
heal? ( ! individual &1 9 ! case ( a    
woman 9 labor1 ! heal? ( ! unborn *ild2 
7,b7 9 :i* ! receiv+ facility-- 7i7 has 
available space & qualifi$ p]sonnel = ! 
treatm5t ( ! individual2 &  7ii7 has    
agre$ to accept transf] ( ! individual &
 to provide appropriate m$ical treatm5t2
  7,c7 9 :i* ! transf]r+ hospital s5ds  
to ! receiv+ facility all m$ical records
 7or copies !re(7 available at ! "t ( ! 
transf] relat+ to ! em]g5cy m$ical      
condition = :i* ! individual has        
pres5t$1 includ+--  7i7 obs]vations (   
signs or symptoms2  7ii7 prelim9>y      
diagnosis2  7iii7 treatm5t provid$2     
7iv7 ! results ( any te/s2 &  7v7 !     
in=m$ writt5 cons5t or c]tification 7or 
copy !re(7 provid$ "u p>agraph          
7#a77;,a72  7,d7 9 :i* ! transf] is     

effect$ ?r\gh qualifi$ p]sonnel &       
transportation equipm5t1 includ+ ! use (
 necess>y & m$ically appropriate life   
support measures dur+ ! transf]2 &  7,e7
 t meets su* o!r requirem5ts z !        
,secret>y consid]s necess>y 9 ! int]e/ (
 ! heal? & safety ( individuals         
transf]r$4  7d7 ,def9itions ,9 ?is      
section3 7#a7 ,! t]m campus means1 )    
respect to a hospital ( ! ,dep>tm5t--   
7,a7 ! physical area imm$iately adjac5t 
to ! ma9 build+s ( ! hospital2  7,b7 o!r
 areas & /ructures t are n /rictly      
contigu\s to ! ma9 build+s b are locat$ 
n less ?an #bej y>ds f ! ma9 build+s2 & 
7,c7 any o!r areas det]m9$ by !         
,secret>y to be "p ( ! campus ( !       
hospital4  7#b7 ,! t]m em]g5cy m$ical   
condition means--  7,a7 a m$ical        
condition manife/+ itself by acute      
symptoms ( suffici5t sev]ity 7includ+   
sev]e pa97 su* t ! abs5ce ( imm$iate    
m$ical att5tion c\ld reasonably be      
expect$ to result 9--  7i7 plac+ ! heal?
 ( ! individual 7or1 ) respect to a     

pregnant woman1 ! heal? ( ! woman or h] 
unborn *ild7 9 s]i\s jeop>dy2  7ii7     
s]i\s impairm5t to bodily functions2 or 
7iii7 s]i\s dysfunction ( any bodily    
organ or "p2 or  7,b7 ) respect to a    
pregnant woman :o is hav+ contractions--
 7i7 t !re is inadequate "t to effect a 
safe transf] to ano!r hospital be=e     
deliv]y2 or  7ii7 t transf] may pose a  
?reat to ! heal? or safety ( ! woman or 
! unborn *ild4  7#c7 7,a7 ,! t]m to     
/abilize means1 ) respect to an em]g5cy 
m$ical condition describ$ 9 p>agraph    
7#b77;,a71 to provide su* m$ical        
treatm5t ( ! condition z may be necess>y
 to assure1 )9 reasonable m$ical        
probability1 t no mat]ial det]ioration (
 ! condition is likely to result f or   
occur dur+ ! transf] ( ! individual f a 
facility1 or1 ) respect to an em]g5cy   
m$ical condition describ$ 9 p>agraph    
7#b77;,b71 to deliv] 7includ+ !         
plac5ta74  7,b7 ,! t]m /abiliz$ means1 )
 respect to an em]g5cy m$ical condition 
describ$ 9 p>agraph 7#b77;,a71 t no     

mat]ial det]ioration ( ! condition is   
likely1 )9 reasonable m$ical            
probability1 to result f or occur dur+ !
 transf] ( ! individual f a facility1   
or1 ) respect to an em]g5cy m$ical      
condition describ$ 9 p>agraph 7#b77;,b71
 t ! woman has deliv]$ 7includ+ !       
plac5ta74  7#d7 ,! t]m transf] means !  
movem5t 7includ+ ! dis*>ge7 ( an        
individual outside ! facilities ( a     
hospital ( ! ,dep>tm5t at ! direction ( 
any p]son employ$ by 7or affiliat$ or   
associat$1 directly or indirectly1 )7 ! 
hospital1 b does n include su* a movem5t
 ( an individual :o--  7,a7 has be5     
decl>$ dead2 or  7,b7 leaves ! facility 
)\t ! p]mission ( any su* p]son4  4  7b7
 ,cl]ical am5dm5t ,! table ( sections at
 ! beg9n+ ( *apt] #ag ( su* title is    
am5d$ by ins]t+ aft] ! item relat+ to   
section #aghd ! foll[+ new item3  ,sec4 
#aghd;,a4 ,exam9ation & treatm5t =      
em]g5cy m$ical conditions & wom5 9      
labor4  4  ,c ,improvem5t ( m$ical      
work=ce  #aba4 ,inclusion ( m5tal heal? 

pr(essionals 9 education & tra9+ program
 = heal? p]sonnel ( ! ,dep>tm5t (       
,vet]ans ,affairs  7a7 ,9 g5]al ,9 c>ry+
 out ! education & tra9+ program requir$
 "u section #gcjb7;a77#a7 ( title #ch1  
,unit$ ,/ates ,code1 ! ,secret>y (      
,vet]ans ,affairs %all include education
 & tra9+ ( m>riage & family !rapi/s &   
lic5s$ pr(essional m5tal heal?          
c\nselors4  7b7 ,effective date         
,subsection 7a7 %all take effect on !   
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  #abb4 ,expansion (
 qualifications = lic5s$ m5tal heal?    
c\nselors ( ! ,dep>tm5t ( ,vet]ans      
,affairs to include doctoral degrees    
,section #gdjb7;b77#aa77;,a7 ( title    
#ch1 ,unit$ ,/ates ,code1 is am5d$ by   
ins]t+ or doctoral degree aft] ma/]'s   
degree4  #abc4 ,report on m$ical work=ce
 ( ! ,dep>tm5t ( ,vet]ans ,affairs  7a7 
,9 g5]al ,n lat] ?an #abj days aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      
submit to ! ,committee on ,vet]ans      

,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans ,affairs ( ! ,h\se (           
,repres5tatives a report on ! m$ical    
work=ce ( ! ,dep>tm5t ( ,vet]ans        
,affairs4  7b7 ,elem5ts ,! report       
requir$ by subsection 7a7 %all include !
 foll[+3 7#a7 ,) respect to lic5s$      
pr(essional m5tal heal? c\nselors &     
m>riage & family !rapi/s ( ! ,dep>tm5t--
  7,a7 h[ _m su* c\nselors & !rapi/s are
 curr5tly enroll$ 9 ! m5tal heal?       
pr(essionals tra9ee program ( !         
,dep>tm5t2  7,b7 h[ _m su* c\nselors &  
!rapi/s are expect$ to enroll 9 ! m5tal 
heal? pr(essionals tra9ee program ( !   
,dep>tm5t dur+ ! #ahj-;day p]iod beg9n+ 
on ! date ( ! submittal ( ! report2     
7,c7 a description ( ! eligibility      
crit]ia = su* c\nselors & !rapi/s z     
comp>$ to o!r behavioral heal?          
pr(essions 9 ! ,dep>tm5t2  7,d7 a       
description ( ! objectives1 goals1 &    
tim+ ( ! ,dep>tm5t ) respect to increas+
 ! repres5tation ( su* c\nselors &      
!rapi/s 9 ! behavioral heal? work=ce ( !

 ,dep>tm5t2 &  7,e7 a description ( !   
actions tak5 by ! ,secret>y1 9          
consultation ) ! ,director ( ! ,(fice ( 
,p]sonnel ,managem5t1 to create an      
occupational s]ies = su* c\nselors &    
!rapi/s & a timel9e = ! creation ( su*  
an occupational s]ies4  7#b7 ,a breakd[n
 ( sp5d+ by ! ,dep>tm5t 9 connection ) !
 education debt r$uction program ( !    
,dep>tm5t "u sub*apt] ,,vii ( *apt] #gf 
( title #ch1 ,unit$ ,/ates ,code1       
includ+--  7,a7 ! am\nt sp5t by !       
,dep>tm5t 9 debt r$uction paym5ts dur+ !
 ?ree-ye> p]iod prec$+ ! submittal ( !  
report disaggregat$ by ! m$ical         
pr(ession ( ! individual receiv+ !      
paym5ts2  7,b7 a description ( h[ !     
,dep>tm5t prioritizes su* sp5d+ by      
m$ical pr(ession1 includ+ an assessm5t (
 :e!r su* priority reflects ! five      
occupations id5tifi$ 9 ! mo/ rec5t      
det]m9ation by ! ,inspector ,g5]al ( !  
,dep>tm5t ( ,vet]ans ,affairs z hav+ !  
l>ge/ /aff+ %ortages 9 ! ,vet]ans ,heal?
 ,adm9i/ration2 &  7,c7 a description ( 

! actions tak5 by ! ,secret>y to        
increase ! effectiv5ess ( su* sp5d+ =   
purposes ( recruitm5t ( heal? c>e       
provid]s to ! ,dep>tm5t1 includ+ ef=ts  
to m consi/5tly include eligibility = ! 
education debt r$uction program 9       
vacancy ann\ncem5ts ( positions = heal? 
c>e provid]s at ! ,dep>tm5t4  7#c7 ,a   
description ( any imp$im5ts to ! deliv]y
 by ! ,dep>tm5t ( telem$ic9e s]vices to 
vet]ans & any actions tak5 by !         
,dep>tm5t to address su* imp$im5ts1     
includ+ ) respect to--  7,a7 re/rictions
 "u ,f$]al or ,/ate laws2  7,b7 lic5s+  
or cr$5tial+ issues = heal? c>e         
provid]s1 includ+ non-,dep>tm5t heal?   
c>e provid]s1 practic+ telem$ic9e ) a   
vet]an locat$ 9 a diff]5t ,/ate2  7,c7 !
 effect ( limit$ broadb& access or      
limit$ in=mation te*nology capabilities 
on ! deliv]y ( heal? c>e2  7,d7 !       
di/ance a vet]an is requir$ to travel to
 access a facility or cl9ic ) telem$ic9e
 capabilities2  7,e7 ! effect on !      
provision ( telem$ic9e s]vices to       

vet]ans ( policies ( & limit$ liability 
protection = c]ta9 entities2 &  7,f7    
issues relat+ to reimbursem5t & travel  
limitations = vet]ans t affect !        
p>ticipation ( non-,dep>tm5t heal? c>e  
provid]s 9 ! telem$ic9e program4  7#d7  
,an update on ! ef=ts ( ! ,secret>y to  
(f] tra9+ opportunities 9 telem$ic9e to 
m$ical resid5ts 9 m$ical facilities ( ! 
,dep>tm5t t use telem$ic9e1 consi/5t )  
m$ical resid5cy program requirem5ts     
e/abli%$ by ! ,accr$itation ,c\ncil =   
,graduate ,m$ical ,education1 z requir$ 
9 section #ajh7;b7 ( ! ,honor+ ,am]ica's
 ,vet]ans & ,c>+ = ,camp ,lejeune       
,families ,act ( #bjab 7,public ,law    
#aab-aed2 #ch ,u4,s4,c4 #gdjf note74    
7#e7 ,an assessm5t ( ! developm5t &     
implem5tation by ! ,secret>y (          
succession plann+ policies to address ! 
preval5ce ( vacancies 9 positions 9 !   
,vet]ans ,heal? ,adm9i/ration ( m ?an   
#ahj days1 includ+ ! developm5t ( an    
ent]prise position managem5t sy/em to m 
effectively id5tify1 track1 & resolve   

su* vacancies4  7#f7 ,a description ( ! 
actions tak5 by ! ,secret>y1 9          
consultation ) ! ,director ( ! ,(fice ( 
,p]sonnel ,managem5t1 to address any    
imp$im5ts to ! timely appo9tm5t &       
det]m9ation ( qualifications =          
,directors ( ,vet]ans ,integrat$ ,s]vice
 ,networks & ,m$ical ,directors ( !     
,dep>tm5t4  ,,ii ,comp5sation & o!r     
b5efits matt]s  ,a ,b5efits claims      
submission  #bja4 ,p>ticipation (       
vet]ans s]vice organizations 9          
,transition ,assi/ance ,program  7a7    
,s5se ( ,congress ,x is ! s5se (        
,congress t ! ,secret>y ( ,def5se1 9    
collaboration ) ! ,secret>y ( ,labor1 ! 
,secret>y ( ,homel& ,security1 & !      
,secret>y ( ,vet]ans ,affairs1 %\ld     
e/abli% a process by :i* a repres5tative
 ( a vet]ans s]vice organization may be 
pres5t at any portion ( ! program c>ri$ 
out "u section #aadd ( title #aj1 ,unit$
 ,/ates ,code1 relat+ to ! submittal (  
claims to ! ,secret>y ( ,vet]ans        
,affairs = comp5sation "u *apt] #aa or  

#ac ( title #ch1 ,unit$ ,/ates ,code4   
7b7 ,report  7#a7 ,9 g5]al ,n lat] ?an  
#ah mon?s aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,secret>y ( ,def5se %all submit
 to ,congress a report on p>ticipation (
 vet]ans s]vice organizations 9 !       
program c>ri$ out "u section #aadd (    
title #aj1 ,unit$ ,/ates ,code4  7#b7   
,cont5ts ,! report requir$ by p>agraph  
7#a7 %all include ! foll[+3 7,a7 ,an    
assessm5t ( ! compliance ( facilities ( 
! ,dep>tm5t ( ,def5se ) ! directives    
includ$ 9 ! memor&um ( ! ,secret>y (    
,def5se entitl$ ,in/allation ,access &  
,support ,s]vices = ,nonpr(it           
,non-,f$]al ,entities & dat$ ,decemb]   
#bc1 #bjad4  7,b7 ,! numb] ( milit>y    
bases t h compli$ ) su* directives4     
7,c7 ,h[ _m vet]ans s]vice organizations
 h be5 pres5t at a portion ( a program z
 describ$ 9 subsection 7a74  7c7        
,vet]ans s]vice organization def9$ ,9   
?is section1 ! t]m vet]ans s]vice       
organization means any organization     
recogniz$ by ! ,secret>y = !            

repres5tation ( vet]ans "u section #eijb
 ( title #ch4  #bjb4 ,requirem5t t      
,secret>y ( ,vet]ans ,affairs publi% !  
av]age "t requir$ to adjudicate timely &
 untimely appeals  7a7 ,publication     
requirem5t  7#a7 ,9 g5]al ,on an ongo+  
basis1 ! ,secret>y ( ,vet]ans ,affairs  
%all make available to ! public !       
foll[+3  7,a7 ,! av]age l5g? ( "t to    
adjudicate a timely appeal4  7,b7 ,!    
av]age l5g? ( "t to adjudicate an       
untimely appeal4  7#b7 ,effective date  
,p>agraph 7#a7 %all take effect on !    
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act & %all apply until !
 date t is ?ree ye>s aft] ! date ( !    
enactm5t ( ?is ,act4  7b7 ,report  7#a7 
,9 g5]al ,n lat] ?an #ci mon?s aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on :e!r
 publication pursuant to subsection     
7a77#a7 has _h an effect on ! numb] (   

timely appeals fil$4  7#b7 ,cont5ts ,!  
report requir$ by p>agraph 7#a7 %all    
include ! foll[+3 7,a7 ,! numb] (       
appeals & timely appeals t 7 fil$ dur+ !
 "o-ye> p]iod end+ on ! effective date  
specifi$ 9 subsection 7a77#b74  7,b7 ,! 
numb] ( appeals & timely appeals t 7    
fil$ dur+ ! "o-ye> p]iod end+ on ! date 
t is two ye>s aft] ! effective date     
specifi$ 9 subsection 7a77#b74  7c7     
,def9itions ,9 ?is section3 7#a7 ,appeal
 ,! t]m appeal means a notice (         
disagreem5t fil$ pursuant to section    
#gaje7;a7 ( title #ch1 ,unit$ ,/ates    
,code1 9 response to notice ( ! result (
 an initial review or det]m9ation reg>d+
 a claim = a b5efit "u a law adm9i/]$ by
 ! ,secret>y ( ,vet]ans ,affairs4  7#b7 
,timely ,! t]m timely ) respect to an   
appeal means t ! notice ( disagreem5t 0 
fil$ n m ?an #ahj days aft] ! date (    
mail+ ( ! notice ( ! result ( ! initial 
review or det]m9ation describ$ 9        
p>agraph 7#a74  7#c7 ,untimely ,! t]m   
untimely ) respect to an appeal means ! 

notice ( disagreem5t 0 fil$ m ?an #ahj  
days aft] ! date ( mail+ ( ! notice ( ! 
result ( ! initial review or det]m9ation
 describ$ 9 p>agraph 7#a74  #bjc4       
,det]m9ation ( mann] ( appe>ance = he>+s
 be=e ,bo>d ( ,vet]ans' ,appeals  7a7 ,9
 g5]al ,section #gajg ( title #ch1      
,unit$ ,/ates ,code1 is am5d$--  7#a7 by
 /rik+ subsection 7e72  7#b7 by         
r$esignat+ subsections 7d7 & 7f7 z      
subsections 7f7 & 7g71 respectively2    
7#c7 by ins]t+ aft] subsection 7c7 !    
foll[+ new subsections 7d7 & 7e73  7d7  
7#a7 ,subject to p>agraph 7#b71 a he>+  
be=e ! ,bo>d %all be conduct$1 z ! ,bo>d
 consid]s appropriate--  7,a7 9 p]son2  
or  7,b7 ?r\gh picture & voice          
transmission1 by electronic or o!r      
means1 9 su* mann] t ! appellant is n   
pres5t 9 ! same location z ! memb] or   
memb]s ( ! ,bo>d dur+ ! he>+4  7#b7 ,^u 
reque/ by an appellant1 a he>+ be=e !   
,bo>d %all be conduct$1 z ! appellant   
consid]s appropriate--  7,a7 9 p]son2 or
  7,b7 ?r\gh picture & voice            

transmission z describ$ 9 p>agraph      
7#a77;,b74  7e7 7#a7 ,9 a case 9 :i* a  
he>+ be=e ! ,bo>d is to be conduct$     
?r\gh picture & voice transmission z    
describ$ 9 subsection 7d77#a77;,b71 !   
,secret>y %all provide suitable         
facilities & equipm5t to ! ,bo>d or o!r 
compon5ts ( ! ,dep>tm5t to enable an    
appellant locat$ at an appropriate      
facility )9 ! area s]v$ by a regional   
(fice to p>ticipate z s describ$4  7#b7 
,any he>+ conduct$ ?r\gh picture & voice
 transmission z describ$ 9 subsection   
7d77#a77;,b7 %all be conduct$ 9 ! same  
mann] z1 & %all be consid]$ ! equival5t 
(1 a p]sonal he>+4  2 &  7#d7 9         
subsection 7f77#a71 z r$esignat$ by     
p>agraph 7#b71 by /rik+ ,an appellant   
may reque/ & all t foll[s ?r\gh (fice ( 
! ,dep>tm5t & ins]t+ ,9 a case 9 :i* a  
he>+ be=e ! ,bo>d is to be conduct$ 9   
p]son1 ! he>+ %all be held at ! pr9cipal
 location ( ! ,bo>d or at a facility ( !
 ,dep>tm5t locat$ )9 ! area s]v$ by a   
regional (fice ( ! ,dep>tm5t4  7b7      

,con=m+ am5dm5t ,subsection 7a77#a7 (   
su* section is am5d$ by /rik+ 9         
subsection 7f7 & ins]t+ 9 subsection    
7g74  7c7 ,effective date ,! am5dm5t    
made by subsection 7a7 %all apply )     
respect to cases receiv$ by ! ,bo>d (   
,vet]ans' ,appeals pursuant to notices (
 disagreem5t submitt$ on or aft] ! date 
( ! enactm5t ( ?is ,act4  ,b ,practices 
( regional (fices relat+ to b5efits     
claims  #baa4 ,comptroll] ,g5]al review 
( claims process+ p]=mance ( regional   
(fices ( ,vet]ans ,b5efits ,adm9i/ration
  7a7 ,review requir$ ,n lat] ?an #ae   
mon?s aft] ! effective date specifi$ 9  
subsection 7e71 ! ,comptroll] ,g5]al ( !
 ,unit$ ,/ates %all complete a review ( 
! regional (fices ( ! ,vet]ans ,b5efits 
,adm9i/ration to help ! ,vet]ans        
,b5efits ,adm9i/ration a*ieve m consi/5t
 p]=mance 9 ! process+ ( claims =       
disability comp5sation4  7b7 ,elem5ts ,!
 review requir$ by subsection 7a7 %all  
include ! foll[+3 7#a7 ,an id5tification
 ( ! foll[+3  7,a7 ,! factors1 includ+  

managem5t practices1 t di/+ui% high]    
p]=m+ regional (fices f o!r regional    
(fices ) respect to claims = disability 
comp5sation4  7,b7 ,! be/ practices     
employ$ by high] p]=m+ regional (fices t
 di/+ui% ! p]=mance ( su* (fices f o!r  
regional (fices4  7,c7 ,su* o!r         
managem5t practices or tools z !        
,comptroll] ,g5]al det]m9es c\ld be us$ 
to improve ! p]=mance ( regional (fices4
  7#b7 ,an assessm5t ( ! effectiv5ess ( 
communication ) respect to ! process+ ( 
claims = disability comp5sation betwe5 !
 regional (fices & vet]ans s]vice       
organizations & casework]s employ$ by   
,memb]s ( ,congress4  7c7 ,report ,n    
lat] ?an #ae mon?s aft] ! effective date
 specifi$ 9 subsection 7e71 !           
,comptroll] ,g5]al %all submit to !     
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! results ( ! review complet$ 
"u subsection 7a74  7d7 ,vet]ans s]vice 
organization def9$ ,9 ?is section1 ! t]m

 vet]ans s]vice organization means any  
organization recogniz$ by ! ,secret>y = 
! repres5tation ( vet]ans "u section    
#eijb ( title #ch1 ,unit$ ,/ates ,code4 
7e7 ,effective date ,?is section %all   
take effect on ! date t is #bgj days    
aft] ! date ( ! enactm5t ( ?is ,act4    
#bab4 ,inclusion 9 annual budget        
submission ( in=mation on capacity (    
,vet]ans ,b5efits ,adm9i/ration to      
process b5efits claims  7a7 ,9 g5]al    
,along ) ! support+ in=mation includ$ 9 
! budget submitt$ to ,congress by !     
,presid5t pursuant to section #aaje7;a7 
( title #ca1 ,unit$ ,/ates ,code1 !     
,presid5t %all include in=mation on !   
capacity ( ! ,vet]ans ,b5efits          
,adm9i/ration to process claims =       
b5efits "u ! laws adm9i/]$ by !         
,secret>y ( ,vet]ans ,affairs1 includ+  
in=mation describ$ 9 subsection 7b71    
dur+ ! fiscal ye> cov]$ by ! budget )   
:i* ! in=mation is submitt$4  7b7       
,in=mation describ$ ,! in=mation        
describ$ 9 ?is subsection is ! foll[+3  

7#a7 ,an e/imate ( ! av]age numb] (     
claims = b5efits "u ! laws adm9i/]$ by !
 ,secret>y1 exclud+ su* claims complet$ 
dur+ m&atory ov]time1 t a s+le full-"t  
equival5t employee ( ! ,adm9i/ration c  
process 9 a ye>1 bas$ on ! foll[+3  7,a7
 ,a "t & motion /udy t ! ,secret>y %all 
conduct on ! process+ ( su* claims4     
7,b7 ,su* o!r in=mation relat+ to su*   
claims z ! ,secret>y consid]s           
appropriate4  7#b7 ,a description ( !   
actions ! ,secret>y w take to improve ! 
process+ ( su* claims4  7#c7 ,an        
assessm5t ( ! actions id5tifi$ by !     
,secret>y "u p>agraph 7#b7 9 ! previ\s  
ye> & an id5tification ( ! effects ( ^? 
actions4  7c7 ,effective date ,?is      
section %all apply ) respect to any     
budget submitt$ z describ$ 9 subsection 
7a7 ) respect to any fiscal ye> aft]    
fiscal ye> #bjag4  #bac4 ,report on     
/aff+ levels at regional (fices (       
,dep>tm5t ( ,vet]ans ,affairs aft]      
transition to ,national ,"w ,queue ,n   
lat] ?an #ae mon?s aft] ! date ( !      

enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all submit to !      
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! crit]ia & proc$ures t !     
,secret>y w use to det]m9e appropriate  
/aff+ levels at ! regional (fices ( !   
,dep>tm5t once ! ,dep>tm5t has          
transition$ to us+ ! ,national ,"w      
,queue = ! di/ribution ( ! claims       
process+ workload4  #bad4 ,annual report
 on progress 9 implem5t+ ,vet]ans       
,b5efits ,managem5t ,sy/em  7a7 ,9 g5]al
 ,n lat] ?an ea* ( "o ye>1 two ye>s1 &  
?ree ye>s aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,secret>y ( ,vet]ans ,affairs  
%all submit to ,congress a report on !  
progress ( ! ,secret>y 9 implem5t+ !    
,vet]ans ,b5efits ,managem5t ,sy/em4    
7b7 ,cont5ts ,ea* report requir$ by     
subsection 7a7 %all include ! foll[+3   
7#a7 ,an assessm5t ( ! curr5t           
functionality ( ! ,vet]ans ,b5efits     
,managem5t ,sy/em4  7#b7 ,recomm5dations

 submitt$ to ! ,secret>y by employees ( 
! ,dep>tm5t ( ,vet]ans ,affairs :o are  
involv$ 9 process+ claims = b5efits "u !
 laws adm9i/]$ by ! ,secret>y1 includ+  
vet]ans s]vice repres5tatives1 rat+     
vet]ans s]vice repres5tatives1 &        
decision review (fic]s1 = su*           
legislative or adm9i/rative action z !  
employees consid] appropriate to improve
 ! process+ ( su* claims4  7#c7         
,recomm5dations submitt$ to ! ,secret>y 
by vet]ans s]vice organizations :o use !
 ,vet]ans ,b5efits ,managem5t ,sy/em =  
su* legislative or adm9i/rative action z
 ! vet]ans s]vice organizations consid] 
appropriate to improve su* sy/em4  7c7  
,vet]ans s]vice organization def9$ ,9   
?is section1 ! t]m vet]ans s]vice       
organization means any organization     
recogniz$ by ! ,secret>y = !            
repres5tation ( vet]ans "u section #eijb
 ( title #ch1 ,unit$ ,/ates ,code4      
#bae4 ,report on plans ( ,secret>y (    
,vet]ans ,affairs to r$uce inv5tory (   
non-rat+ workload ,n lat] ?an #abj days 

aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,vet]ans ,affairs %all      
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report t details !    
plans ( ! ,secret>y to r$uce ! inv5tory 
( "w items li/$ 9 ! ,monday ,morn+      
,workload ,report "u ,end ,products     
#acj1 #acg1 #agc1 #bij1 #djj1 #fjj1     
#fjg1 #fij1 #icj1 & #ifj4  #baf4 ,s5se (
 ,congress on increas$ transp>5cy relat+
 to claims = b5efits & appeals (        
decisions relat+ to b5efits 9 ,monday   
,morn+ ,workload ,report ,x is ! s5se ( 
,congress t ! ,secret>y ( ,vet]ans      
,affairs %\ld include 9 ea* ,monday     
,morn+ ,workload ,report publi%$ by !   
,secret>y ! foll[+3  7#a7 ,) respect to 
ea* regional (fice ( ! ,dep>tm5t (      
,vet]ans ,affairs1 ! foll[+3 7,a7 ,!    
numb] ( fully develop$ claims = b5efits 
"u ! laws adm9i/]$ by ! ,secret>y t h   
be5 receiv$4  7,b7 ,! numb] ( claims    
describ$ 9 subp>agraph 7,a7 t are p5d+ a

 decision4  7,c7 ,! numb] ( claims      
describ$ 9 subp>agraph 7,a7 t h be5 p5d+
 a decision = m ?an #abe days4  7#b7    
,enhanc$ in=mation on appeals (         
decisions relat+ to claims = b5efits "u 
! laws adm9i/]$ by ! ,secret>y t are    
p5d+1 includ+ in=mation conta9$ 9 !     
reports ( ! ,dep>tm5t entitl$ ,appeals  
,p5d+ & ,appeals ,workload ,by ,/ation4 
,c ,o!r b5efits matt]s  #bba4           
,modification ( pilot program = use (   
contract physicians = disability        
exam9ations ,section #ejd ( ! ,vet]ans' 
,b5efits ,improvem5t ,act ( #aiif       
7,public ,law #ajd-bge2 #ch ,u4,s4,c4   
#eaja note7 is am5d$--  7#a7 by         
r$esignat+ subsections 7c7 & 7d7 z      
subsections 7d7 & 7e71 respectively2 &  
7#b7 by ins]t+ aft] subsection 7b7 !    
foll[+ new subsection 7c73  7c7         
,lic5sure ( contract physicians  7#a7 ,9
 g5]al ,not)/&+ any law reg>d+ !        
lic5sure ( physicians1 a physician      
describ$ 9 p>agraph 7#b7 may conduct an 
exam9ation pursuant to a contract ent]$ 

into "u subsection 7a7 at any location 9
 any ,/ate1 ! ,di/rict ( ,columbia1 or a
 ,commonweal?1 t]ritory1 or possession (
 ! ,unit$ ,/ates1 s long z ! exam9ation 
is )9 ! scope ( ! au?oriz$ duties "u su*
 contract4  7#b7 ,physician describ$ ,a 
physician describ$ 9 ?is p>agraph is a  
physician :o-- 7,a7 has a curr5t lic5se 
to practice ! heal? c>e pr(ession ( !   
physician2 &  7,b7 is p]=m+ au?oriz$    
duties = ! ,dep>tm5t ( ,vet]ans ,affairs
 pursuant to a contract ent]$ into "u   
subsection 7a74  4  #bbb4 ,developm5t ( 
proc$ures to increase coop]ation )      
,national ,gu>d ,bureau  7a7 ,9 g5]al ,!
 ,secret>y ( ,vet]ans ,affairs & ! ,*ief
 ( ! ,national ,gu>d ,bureau %all jo9tly
 develop & implem5t proc$ures1 includ+  
requirem5ts relat+ to timel9ess1 to     
improve ! timely provision to !         
,secret>y ( su* in=mation 9 ! possession
 ( ! ,*ief z ! ,secret>y requires to    
process claims submitt$ to ! ,secret>y =
 b5efits "u ! laws adm9i/]$ by !        
,secret>y4  7b7 ,report ,n lat] ?an "o  

ye> aft] ! implem5tation ( ! proc$ures  
"u subsection 7a71 ! ,secret>y & ! ,*ief
 %all jo9tly submit to ,congress a      
report describ+--  7#a7 ! reque/s =     
in=mation relat+ to records ( memb]s ( !
 ,national ,gu>d made by ! ,secret>y to 
! ,*ief pursuant to su* proc$ures2 &    
7#b7 ! timel9ess ( ! responses ( ! ,*ief
 to su* reque/s4  #bbc4 ,review (       
det]m9ation ( c]ta9 s]vice 9 ,philipp9es
 dur+ ,_w ,w> ,,ii  7a7 ,9 g5]al ,!     
,secret>y ( ,vet]ans ,affairs1 9        
consultation ) ! ,secret>y ( ,def5se &  
su* milit>y hi/orians z ! ,secret>y (   
,def5se recomm5ds1 %all review ! process
 us$ to det]m9e :e!r a cov]$ individual 
s]v$ 9 support ( ! ,arm$ ,=ces ( !      
,unit$ ,/ates dur+ ,_w ,w> ,,ii 9       
accordance ) section #ajjb7;d7 ( title  
,x ( ,division ,a ( ! ,am]ican ,recov]y 
& ,re9ve/m5t ,act ( #bjji 7,public ,law 
#aaa-e2 #ch ,u4,s4,c4 #ajg note7 =      
purposes ( det]m9+ :e!r su* cov]$       
individual is eligible = paym5ts        
describ$ 9 su* section4  7b7 ,cov]$     

individuals ,9 ?is section1 a cov]$     
individual is any individual :o timely  
submitt$ a claim = b5efits "u subsection
 7c7 ( section #ajjb ( title ,x (       
,division ,a ( ! ,am]ican ,recov]y &    
,re9ve/m5t ,act ( #bjji 7,public ,law   
#aaa-e2 #ch ,u4,s4,c4 #ajg note7 bas$ on
 s]vice z describ$ 9 subsection 7d7 ( t 
section4  7c7 ,report ,n lat] ?an #ij   
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,vet]ans ,affairs   
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report detail+ any    
f9d+s1 actions tak51 or recomm5dations =
 legislative action ) respect to !      
review conduct$ "u subsection 7a74  7d7 
,prohibition on b5efits = disqualify+   
conduct "u new process pursuant to      
review ,if pursuant to ! review conduct$
 "u subsection 7a7 ! ,secret>y (        
,vet]ans ,affairs det]m9es to e/abli% a 
new process = ! mak+ ( paym5ts z        
describ$ 9 t subsection1 ! process %all 

include me*anisms to ensure t           
individuals are n treat$ z cov]$        
individuals = purposes ( su* paym5ts if 
su* individuals engag$ 9 any disqualify+
 conduct dur+ s]vice describ$ 9 t       
subsection1 includ+ collaboration ) !   
enemy or crim9al conduct4  #bbd4 ,s5se (
 ,congress on submittal ( in=mation     
relat+ to claims = disabilities incurr$ 
or aggravat$ by milit>y sexual trauma   
7a7 ,9 g5]al ,x is ! s5se ( ,congress t 
! ,secret>y ( ,vet]ans ,affairs %\ld    
submit to ,congress in=mation on ! cov]$
 claims submitt$ to ! ,secret>y dur+ ea*
 fiscal ye>1 includ+ ! in=mation        
specifi$ 9 subsection 7b74  7b7 ,elem5ts
 ,! in=mation specifi$ 9 ?is subsection 
) respect to ea* fiscal ye> is ! foll[+3
 7#a7 ,! numb] ( cov]$ claims submitt$  
to or consid]$ by ! ,secret>y dur+ su*  
fiscal ye>4  7#b7 ,( ! cov]$ claims "u  
p>agraph 7#a71 ! numb] & p]c5tage ( su* 
claims--  7,a7 submitt$ by ea* g5d]2    
7,b7 t 7 approv$1 includ+ ! numb] &     
p]c5tage ( su* approv$ claims submitt$  

by ea* g5d]2 &  7,c7 t 7 d5i$1 includ+ !
 numb] & p]c5tage ( su* d5i$ claims     
submitt$ by ea* g5d]4  7#c7 ,( ! cov]$  
claims "u p>agraph 7#a7 t 7 approv$1 !  
numb] & p]c5tage1 li/$ by ea* g5d]1 (   
claims assign$ to ea* rat+ p]c5tage (   
disability4  7#d7 ,( ! cov]$ claims "u  
p>agraph 7#a7 t 7 d5i$--  7,a7 ! ?ree   
mo/ common reasons giv5 by ! ,secret>y  
"u section #eajd7;b77#a7 ( title #ch1   
,unit$ ,/ates ,code1 = su* d5ials2 &    
7,b7 ! numb] ( d5ials t 7 bas$ on !     
failure ( a vet]an to report = a m$ical 
exam9ation4  7#e7 ,( ! cov]$ claims "u  
p>agraph 7#a7 t 7 resubmitt$ to !       
,secret>y aft] d5ial 9 a previ\s        
adjudication--  7,a7 ! numb] ( su*      
claims submitt$ to or consid]$ by !     
,secret>y dur+ su* fiscal ye>2  7,b7 !  
numb] & p]c5tage ( su* claims--  7i7    
submitt$ by ea* g5d]2  7ii7 t 7 approv$1
 includ+ ! numb] & p]c5tage ( su*       
approv$ claims submitt$ by ea* g5d]2 &  
7iii7 t 7 d5i$1 includ+ ! numb] &       
p]c5tage ( su* d5i$ claims submitt$ by  

ea* g5d]2  7,c7 ! numb] & p]c5tage1 li/$
 by ea* g5d]1 ( claims assign$ to ea*   
rat+ p]c5tage ( disability2 &  7,d7 (   
su* claims t 7 aga9 d5i$--  7i7 ! ?ree  
mo/ common reasons giv5 by ! ,secret>y  
"u section #eajd7;b77#a7 ( su* title =  
su* d5ials2 &  7ii7 ! numb] ( d5ials t 7
 bas$ on ! failure ( a vet]an to report 
= a m$ical exam9ation4  7#f7 ,! numb] ( 
cov]$ claims t1 z ( ! end ( su* fiscal  
ye>1 are p5d+ &1 sep>ately1 ! numb] (   
su* claims on appeal4  7#g7 ,! av]age   
numb] ( days t cov]$ claims take to     
complete beg9n+ on ! date on :i* ! claim
 is submitt$4  7c7 ,def9itions ,9 ?is   
section3 7#a7 ,cov]$ claims ,! t]m cov]$
 claims means claims = disability       
comp5sation submitt$ to ! ,secret>y bas$
 on po/-traumatic /ress disord] alleg$  
to h be5 incurr$ or aggravat$ by milit>y
 sexual trauma4  7#b7 ,milit>y sexual   
trauma ,! t]m milit>y sexual trauma %all
 h ! mean+ specifi$ by ! ,secret>y =    
purposes ( ?is section & %all include   
sexual h>assm5t 7z s specifi$74  ,,iii  

,education matt]s  #cja4 ,ret5tion (    
entitlem5t to educational assi/ance dur+
 c]ta9 additional p]iods ( active duty  
7a7 ,educational assi/ance all[ance     
,section #afaca7;c77#c77;,b77i7 ( title 
#aj1 ,unit$ ,/ates ,code1 is am5d$ by   
/rik+ or #abcjd & ins]t+ #abcjd1        
#abcjd;a1 or #abcjd;b4  7b7 ,expiration 
date ,section #afacc7;b77#d7 ( su* title
 is am5d$ by /rik+ or #abcjd & ins]t+   
#abcjd1 #abcjd;a1 or #abcjd;b4  #cjb4   
,reports on progress ( /ud5ts receiv+   
,po/-#i_/aa ,educational ,assi/ance  7a7
 ,9 g5]al ,*apt] #cc ( title #ch1 ,unit$
 ,/ates ,code1 is am5d$-- 7#a7 9        
subsection #ccbe7;c7--  7,a7 9 p>agraph 
7#b71 by /rik+ & aft] ! semicolon2  7,b7
 by r$esignat+ p>agraph 7#c7 z p>agraph 
7#d72 &  7,c7 by ins]t+ aft] p>agraph   
7#b7 ! foll[+ new p>agraph 7#c73  7#c7 !
 in=mation receiv$ by ! ,secret>y "u    
section #ccbf ( ?is title2 &  2 &  7#b7 
by add+ at ! end ! foll[+ new section3  
#ccbf4 ,report on /ud5t progress ,z a   
condition on approval "u *apt] #cf ( ?is

 title ( a c\rse (f]$ by an educational 
in/itution 7z def9$ 9 section #cdeb (   
?is title71 ea* ye>1 ea* educational    
in/itution 7z s def9$7 t receiv$ a      
paym5t 9 t ye> on behalf ( an individual
 entitl$ to educational assi/ance "u ?is
 *apt] %all submit to ! ,secret>y su*   
in=mation reg>d+ ! academic progress ( !
 individual z ! ,secret>y may require4  
4  7b7 ,cl]ical am5dm5t ,! table (      
sections at ! beg9n+ ( su* *apt] is     
am5d$ by add+ at ! end ! foll[+ new     
item3  #ccbf4 ,report on /ud5t progress4
  4  7c7 ,effective date ,! am5dm5ts    
made by ?is section %all take effect on 
! date t is "o ye> aft] ! date ( !      
enactm5t ( ?is ,act4  #cjc4 ,secret>y ( 
,def5se report on level ( education     
atta9$ by ^? :o transf] entitlem5t to   
,po/-#i_/aa educational assi/ance  7a7  
,9 g5]al ,section #ccbe7;b77#a7 ( title 
#ch1 ,unit$ ,/ates ,code1 is am5d$--    
7#a7 9 subp>agraph 7,b71 by /rik+ & aft]
 ! semicolon2 &  7#b7 by add+ at ! end !
 foll[+ new subp>agraph3  7,d7 indicat+ 

! highe/ level ( education atta9$ by ea*
 individual :o transf]s a portion ( !   
individual's entitlem5t to educational  
assi/ance "u section #ccai ( ?is title2 
&  4  7b7 ,effective date ,! am5dm5ts   
made by subsection 7a7 %all take effect 
on ! date t is "o ye> aft] ! date ( !   
enactm5t ( ?is ,act4  #cjd4 ,reports on 
educational levels atta9$ by c]ta9      
memb]s ( ! ,arm$ ,=ces at "t ( sep>ation
 f ! ,arm$ ,=ces  7a7 ,annual reports   
requir$ ,ea* ,secret>y conc]n$ %all     
submit to ,congress ea* ye> a report on 
! educational levels atta9$ by memb]s ( 
! ,arm$ ,=ces describ$ 9 subsection 7b7 
"u ! jurisdiction ( su* ,secret>y :o    
sep>at$ f ! ,arm$ ,=ces dur+ ! prec$+   
ye>4  7b7 ,cov]$ memb]s ,! memb]s ( !   
,arm$ ,=ces describ$ 9 ?is subsection   
are memb]s ( ! ,arm$ ,=ces :o transf]r$ 
unus$ education b5efits to family memb]s
 pursuant to section #ccai ( title #ch1 
,unit$ ,/ates ,code1 :ile s]v+ z memb]s 
( ! ,arm$ ,=ces4  7c7 ,secret>y conc]n$ 
def9$ ,9 ?is section1 ! t]m ,secret>y   

conc]n$ has ! mean+ giv5 t t]m 9 section
 #aja ( title #ch1 ,unit$ ,/ates ,code4 
7d7 ,effective date ,?is section %all   
take effect on ! date t is "o ye> aft] !
 date ( ! enactm5t ( ?is ,act4  ,,iv    
,employm5t & transition matt]s  #dja4   
,requir$ coord9ation betwe5 ,directors =
 ,vet]ans' ,employm5t & ,tra9+ ) ,/ate  
dep>tm5ts ( labor & vet]ans affairs  7a7
 ,9 g5]al ,section #dajc ( title #ch1   
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new subsection3  7c7    
,coord9ation ) ,/ate dep>tm5ts ( labor &
 vet]ans affairs ,ea* ,director =       
,vet]ans' ,employm5t & ,tra9+ = a ,/ate 
%all coord9ate ! ,director's activities 
"u ?is *apt] ) ! ,/ate dep>tm5t ( labor 
& ! ,/ate dep>tm5t ( vet]ans affairs4  4
  7b7 ,effective date ,! am5dm5t made by
 subsection 7a7 %all take effect on !   
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  #djb4 ,report on  
job fairs att5d$ by "o-/op c>e] c5t]    
employees at :i* su* employees enc\nt]  
vet]ans  7a7 ,9 g5]al ,section          

#acf7;d77#a7 ( ! ,work=ce ,inve/m5t ,act
 ( #aiih 7#bi ,u4,s4,c4 #bhga7;d77#a77  
is am5d$ by add+ at ! end ! foll[+ new  
s5t5ce3 ,! report also %all include     
in=mation1 = ! ye> prec$+ ! ye> ! report
 is submitt$1 on ! numb] ( job fairs    
att5d$ by ,"o-,/op ,c>e] ,c5t] employees
 at :i* ! employees _h contact ) a      
vet]an1 & ! numb] ( vet]ans contact$ at 
ea* su* job fair44  7b7 ,effective date 
,! am5dm5t made by subsection 7a7 %all  
take effect on ! date t is "o ye> aft] !
 date ( ! enactm5t ( ?is ,act4  #djc4   
,review ( *all5ges fac$ by employ]s     
seek+ to hire vet]ans & %>+ ( in=mation 
among ,f$]al ag5cies t s]ve vet]ans  7a7
 ,review  7#a7 ,9 g5]al ,! ,secret>y (  
,labor1 9 consultation ) ! ,secret>y (  
,def5se & ! ,secret>y ( ,vet]ans        
,affairs1 %all conduct a review (--     
7,a7 ! *all5ges fac$ by employ]s seek+  
to hire vet]ans2 &  7,b7 in=mation %>+  
among ,f$]al dep>tm5ts & ag5cies t s]ve 
vet]ans & memb]s ( ! ,arm$ ,=ces :o are 
sep>at+ f s]vice4  7#b7 ,matt]s review$ 

,9 conduct+ ! review requir$ by p>agraph
 7#a71 ! ,secret>y ( ,labor %all exam9e 
! foll[+3  7,a7 ,! b>ri]s employ]s face 
9 ga9+ in=mation id5tify+ vet]ans :o are
 seek+ jobs4  7,b7 ,! ext5t & quality ( 
in=mation %>+ among ,f$]al dep>tm5ts &  
ag5cies t s]ve vet]ans & memb]s ( !     
,arm$ ,=ces :o are sep>at+ f s]vice1    
includ+ h[ ! dep>tm5ts & ag5cies may m  
easily connect employ]s ) su* vet]ans & 
memb]s4  7b7 ,report  7#a7 ,9 g5]al ,n  
lat] ?an #abj days aft] ! effective date
 specifi$ 9 subsection 7c71 ! ,secret>y 
( ,labor %all submit to ! appropriate   
committees ( ,congress a report on !    
review conduct$ "u subsection 7a74  7#b7
 ,cont5ts ,! report requir$ by p>agraph 
7#a7 %all include ! foll[+3 7,a7        
,recomm5dations = address+ ! b>ri]s     
describ$ 9 subsection 7a77#b77;,a74     
7,b7 ,recomm5dations = improv+ in=mation
 %>+ describ$ 9 subsection 7a77#b77;,b74
  7#c7 ,appropriate committees (        
,congress def9$ ,9 ?is subsection1 ! t]m
 appropriate committees ( ,congress     

means--  7,a7 ! ,committee on ,arm$     
,s]vices & ! ,committee on ,vet]ans'    
,affairs ( ! ,s5ate2 &  7,b7 !          
,committee on ,arm$ ,s]vices & !        
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives4  7c7 ,effective
 date ,?is section %all take effect on !
 date t is "o ye> aft] ! date ( !       
enactm5t ( ?is ,act4  #djd4 ,review (   
,transition ,,gps ,program ,core        
,curriculum  7a7 ,review  7#a7 ,9 g5]al 
,! ,secret>y ( ,def5se1 9 consultation )
 ! ,secret>y ( ,vet]ans ,affairs & !    
,secret>y ( ,labor1 %all conduct a      
review ( ! ,dep>tm5t ( ,def5se          
,transition ,,gps ,program ,core        
,curriculum 9 effect on ! date ( !      
enactm5t ( ?is ,act4  7#b7 ,matt]s      
review$ ,! review %all exam9e ! foll[+3 
7,a7 ,! ,dep>tm5t ( ,def5se ,transition 
,,gps ,program ,core ,curriculum 9      
effect on ! date ( ! enactm5t ( ?is     
,act4  7,b7 ,! roles & responsibilities 
( ea* ,f$]al dep>tm5t p>ticipat+ 9 !    
,transition ,,gps ,program & :e!r !     

v>i\s roles & responsibilities ( !      
,f$]al dep>tm5ts are adequately align$ )
 "o ano!r4  7,c7 ,! allotm5t ( "t sp5t  
on issues "u ! jurisdiction ( ea* ,f$]al
 dep>tm5t p>ticipat+ 9 ! ,transition    
,,gps ,program & :e!r ! allotm5t is     
adequate to provide memb]s ( ! ,arm$    
,=ces ) all ! in=mation ! memb]s ne$    
reg>d+ important b5efits t c assi/      
memb]s 9 transition+ out ( milit>y      
s]vice4  7,d7 ,:e!r any ( ! in=mation 9 
! ?ree optional tracks 9 ! ,transition  
,,gps ,program ,core ,curriculum %\ld be
 address$ m appropriately 9 m&atory     
tracks r ?an optional tracks4  7,e7 ,!  
b5efits ( & ob/acles to e/abli%+-- 7i7 a
 /&>d implem5tation plan ( long-t]m     
outcome measures = ! ,transition ,,gps  
,program2 &  7ii7 a compreh5sive sy/em (
 metrics = su* measures4  7b7 ,report   
7#a7 ,9 g5]al ,n lat] ?an #abj days aft]
 ! date ( ! enactm5t ( ?is ,act1 !      
,secret>y ( ,def5se1 9 consultation ) ! 
,secret>y ( ,vet]ans ,affairs & !       
,secret>y ( ,labor1 %all submit to !    

appropriate committees ( ,congress a    
report on ! review conduct$ "u          
subsection 7a74  7#b7 ,cont5ts ,! report
 requir$ by p>agraph 7#a7 %all include !
 foll[+3 7,a7 ,recomm5dations = improv+ 
! ,dep>tm5t ( ,def5se ,transition ,,gps 
,program ,core ,curriculum 9 ord] to m  
accurately address ! ne$s ( memb]s ( !  
,arm$ ,=ces transition+ out ( milit>y   
s]vice4  7,b7 ,recomm5dations = improv+ 
! roles & responsibilities describ$ 9   
subsection 7a77#b77;,b74  7,c7          
,recomm5dations = improv+ ! allotm5t (  
"t describ$ 9 subsection 7a77#b77;,c74  
7,d7 ,su* recomm5dations z ! ,secret>y (
 ,def5se may h reg>d+ ! optional &      
m&atory tracks 9 ! ,transition ,,gps    
,program ,core ,curriculum4  7,e7 ,su*  
recomm5dations z ! ,secret>y ( ,def5se  
may h ) respect to ! outcome measures & 
metrics describ$ 9 subsection           
7a77#b77;,e74  7,f7 ,id5tification ( su*
 o!r areas ( conc]n z ! ,secret>y (     
,def5se may h ) respect to ! ,transition
 ,,gps ,program & su* recomm5dations =  

legislative or adm9i/rative action z !  
,secret>y may h to address su* conc]ns4 
7#c7 ,appropriate committees ( ,congress
 def9$ ,9 ?is subsection1 ! t]m         
appropriate committees ( ,congress      
means-- 7,a7 ! ,committee on ,arm$      
,s]vices & ! ,committee on ,vet]ans'    
,affairs ( ! ,s5ate2 &  7,b7 !          
,committee on ,arm$ ,s]vices & !        
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives4  #dje4         
,modification ( requirem5t = provision (
 presep>ation c\nsel+  7a7 ,cl>ification
 ( requirem5t = #ahj cont9u\s days (    
active duty s]vice ,subp>agraph 7,a7 (  
section #aadb7;a77#d7 ( title #aj1      
,unit$ ,/ates ,code1 is am5d$ by ins]t+ 
cont9u\s be=e #ahj days4  7b7 ,exclusion
 ( tra9+ f p]iods ( active duty ,su*    
section is fur!r am5d$ by add+ at ! end 
! foll[+ new subp>agraph3  7,c7 ,=      
purposes ( subp>agraph 7,a71 ! t]m      
active duty does n include full-"t tra9+
 duty1 annual tra9+ duty1 & att5dance1  
:ile 9 ! active milit>y s]vice1 at a    

s*ool designat$ z a s]vice s*ool by law 
or by ! ,secret>y conc]n$4  4  ,v       
,vet]an small bus9ess matt]s  #eja4     
,modification ( treatm5t "u contract+   
goals & pref]5ces ( ,dep>tm5t ( ,vet]ans
 ,affairs = small bus9esses own$ by     
vet]ans ( small bus9esses aft] dea? (   
disabl$ vet]an own]s  7a7 ,9 g5]al      
,section #habg7;h7 ( title #ch1 ,unit$  
,/ates ,code1 is am5d$--  7#a7 9        
p>agraph 7#c71 by /rik+ rat$ z & all t  
foll[s ?r\gh disability4 & ins]t+ a     
p]iod2 &  7#b7 9 p>agraph 7#b71 by am5d+
 subp>agraph 7,c7 to read z foll[s3     
7,c7 ,! date t-- 7i7 9 ! case ( a       
surviv+ sp\se ( a vet]an ) a            
s]vice-connect$ disability rat$ z #ajj  
p]c5t disabl+ or :o dies z a result ( a 
s]vice-connect$ disability1 is #aj ye>s 
aft] ! date ( ! vet]an's dea?2 or  7ii7 
9 ! case ( a surviv+ sp\se ( a vet]an ) 
a s]vice-connect$ disability rat$ z less
 ?an #ajj p]c5t disabl+ :o does n die z 
a result ( a s]vice-connect$ disability1
 is ?ree ye>s aft] ! date ( ! vet]an's  

dea?4  4  7b7 ,effective date ,!        
am5dm5ts made by subsection 7a7 %all    
take effect on ! date t is #ahj days    
aft] ! date ( ! enactm5t ( ?is ,act &   
%all apply ) respect to applications    
receiv$ pursuant to section             
#habg7;f77#b7 ( title #ch1 ,unit$ ,/ates
 ,code1 t are v]ifi$ on or aft] su*     
date4  #ejb4 ,treatm5t ( bus9esses aft] 
dea?s ( s]vicememb]-own]s = purposes (  
,dep>tm5t ( ,vet]ans ,affairs contract+ 
goals & pref]5ces  7a7 ,9 g5]al ,section
 #habg ( title #ch1 ,unit$ ,/ates ,code1
 is am5d$--  7#a7 by r$esignat+         
subsections 7i7 ?r\gh 7l7 z subsections 
7j7 ?r\gh 7m71 respectively2 &  7#b7 by 
ins]t+ aft] subsection 7h7 ! foll[+ new 
subsection 7i73  7i7 ,treatm5t (        
bus9esses aft] dea? ( s]vicememb]-own]  
7#a7 ,if a memb] ( ! ,arm$ ,=ces owns at
 lea/ #ea p]c5t ( a small bus9ess conc]n
 & su* memb] is kill$ 9 l9e ( duty 9 !  
active milit>y1 naval1 or air s]vice1 ! 
surviv+ sp\se or dep5d5t *ild ( su*     
memb] :o acquires su* own]%ip rights 9  

su* small bus9ess conc]n %all1 = ! p]iod
 describ$ 9 p>agraph 7#b71 be treat$ z  
if ! surviv+ sp\se or dep5d5t *ild 7 a  
vet]an ) a s]vice-connect$ disability = 
purposes ( det]m9+ ! /atus ( ! small    
bus9ess conc]n z a small bus9ess conc]n 
own$ & controll$ by vet]ans = purposes (
 contract+ goals & pref]5ces "u ?is     
section4  7#b7 ,! p]iod ref]r$ to 9     
p>agraph 7#a7 is ! p]iod beg9n+ on !    
date on :i* ! memb] ( ! ,arm$ ,=ces dies
 & end+ on ! date z foll[s3  7,a7 ,9 !  
case ( a surviv+ sp\se1 ! e>lie/ ( !    
foll[+ dates3  7i7 ,! date on :i* !     
surviv+ sp\se rem>ries4  7ii7 ,! date on
 :i* ! surviv+ sp\se rel9qui%es an      
own]%ip int]e/ 9 ! small bus9ess conc]n 
& no long] owns at lea/ #ea p]c5t ( su* 
small bus9ess conc]n4  7iii7 ,! date t  
is t5 ye>s aft] ! date ( ! memb]'s dea?4
  7,b7 ,9 ! case ( a dep5d5t *ild1 !    
e>lie/ ( ! foll[+ dates3 7i7 ,! date on 
:i* ! surviv+ dep5d5t *ild rel9qui%es an
 own]%ip int]e/ 9 ! small bus9ess conc]n
 & no long] owns at lea/ #ea p]c5t ( su*

 small bus9ess conc]n4  7ii7 ,! date t  
is t5 ye>s aft] ! date ( ! memb]'s dea?4
  4  7b7 ,effective date ,subsection 7i7
 ( section #habg ( su* title1 z add$ by 
subsection 7a71 %all take effect on !   
date ( ! enactm5t ( ?is ,act & %all     
apply ) respect to ! dea?s ( memb]s ( ! 
,arm$ ,=ces occurr+ on or aft] su* date4
  ,,vi ,burial matt]s  #fja4 ,dep>tm5t (
 ,vet]ans ,affairs /udy on matt]s relat+
 to burial ( unclaim$ rema9s ( vet]ans 9
 national cemet]ies  7a7 ,/udy & report 
requir$ ,n lat] ?an "o ye> aft] !       
effective date specifi$ 9 subsection    
7d71 ! ,secret>y ( ,vet]ans ,affairs    
%all--  7#a7 complete a /udy on matt]s  
relat+ to ! int]r+ ( unclaim$ rema9s (  
vet]ans 9 national cemet]ies "u !       
control ( ! ,national ,cemet]y          
,adm9i/ration2 &  7#b7 submit to        
,congress a report on ! f9d+s ( !       
,secret>y ) respect to ! /udy requir$ "u
 p>agraph 7#a74  7b7 ,matt]s /udi$ ,!   
matt]s /udi$ "u subsection 7a77#a7 %all 
include ! foll[+3 7#a7 ,det]m9+ ! scope 

( issues relat+ to unclaim$ rema9s (    
vet]ans1 includ+ an e/imate ( ! numb] ( 
unclaim$ rema9s ( vet]ans4  7#b7        
,assess+ ! effectiv5ess ( ! proc$ures ( 
! ,dep>tm5t ( ,vet]ans ,affairs = work+ 
) p]sons or entities hav+ cu/ody (      
unclaim$ rema9s to facilitate int]m5t ( 
unclaim$ rema9s ( vet]ans 9 national    
cemet]ies "u ! control ( ! ,national    
,cemet]y ,adm9i/ration4  7#c7 ,assess+  
,/ate & local laws t affect ! ability ( 
! ,secret>y to int] unclaim$ rema9s (   
vet]ans 9 national cemet]ies "u !       
control ( ! ,national ,cemet]y          
,adm9i/ration4  7#d7 ,develop+          
recomm5dations = su* legislative or     
adm9i/rative action z ! ,secret>y       
consid]s appropriate4  7c7 ,me?odology  
7#a7 ,numb] ( unclaim$ rema9s ,9 e/imat+
 ! numb] ( unclaim$ rema9s ( vet]ans "u 
subsection 7b77#a71 ! ,secret>y may     
review su* subset ( applicable entities 
z ! ,secret>y consid]s appropriate1     
includ+ a subset ( fun]al homes & coron]
 (fices t possess unclaim$ vet]ans      

rema9s4  7#b7 ,assessm5t ( ,/ate & local
 laws ,9 assess+ ,/ate & local laws "u  
subsection 7b77#c71 ! ,secret>y may     
assess su* sample ( applicable ,/ate &  
local laws z ! ,secret>y consid]s       
appropriate 9 lieu ( review+ all        
applicable ,/ate & local laws4  7d7     
,effective date ,?is section %all take  
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  ,,vii ,o!r   
matt]s  #gja4 ,honor+ z vet]ans c]ta9   
p]sons :o p]=m$ s]vice 9 ! res]ve       
compon5ts ( ! ,arm$ ,=ces ,any p]son :o 
is entitl$ "u *apt] #abbc ( title #aj1  
,unit$ ,/ates ,code1 to retir$ pay =    
nonregul> s]vice or1 b = age1 w\ld be   
entitl$ "u su* *apt] to retir$ pay =    
nonregul> s]vice %all be honor$ z a     
vet]an b %all n be entitl$ to any b5efit
 by reason ( ?is honor4  #gjb4 ,report  
on ,laotian milit>y support ( ,arm$     
,=ces ( ! ,unit$ ,/ates dur+ ,vietnam   
,w>  7a7 ,9 g5]al ,n lat] ?an "o ye>    
aft] ! effective date specifi$ 9        
subsection 7c71 ! ,secret>y ( ,vet]ans  

,affairs1 9 consultation ) ! ,secret>y (
 ,def5se & su* ag5cies & individuals z !
 ,secret>y ( ,vet]ans ,affairs consid]s 
appropriate1 %all submit to !           
appropriate committees ( ,congress a    
report on--  7#a7 ! ext5t to :i*        
,laotian milit>y =ces provid$ combat    
support to ! ,arm$ ,=ces ( ! ,unit$     
,/ates betwe5 ,febru>y #bh1 #aifa1 &    
,may #ae1 #aige2  7#b7 :e!r ! curr5t    
classification by ! ,civilian_/,milit>y 
,s]vice ,review ,bo>d ( ! ,dep>tm5t (   
,def5se ( s]vice by individuals ( ,hmong
 e?nicity is appropriate2 &  7#c7 su*   
recomm5dations z ! ,secret>y ( ,vet]ans 
,affairs may h = legislative action4    
7b7 ,appropriate committees ( ,congress 
,9 ?is section1 ! t]m appropriate       
committees ( ,congress means--  7#a7 !  
,committee on ,arm$ ,s]vices & !        
,committee on ,vet]ans' ,affairs ( !    
,s5ate2 &  7#b7 ! ,committee on ,arm$   
,s]vices & ! ,committee on ,vet]ans'    
,affairs ( ! ,h\se ( ,repres5tatives4   
7c7 ,effective date ,?is section %all   

take effect on ! date t is "o ye> aft] !
 date ( ! enactm5t ( ?is ,act4  #gjc4   
,re/oration ( prior report+ fee         
multipli]s  7a7 ,9 g5]al ,dur+ ! #aj-ye>
 p]iod beg9n+ on ,septemb] #bf1 #bjae1 !
 second s5t5ce ( subsection 7c7 (       
section #cfhd ( title #ch1 ,unit$ ,/ates
 ,code1 %all be appli$--  7#a7 by       
sub/itut+ #h = #ab2 &  7#b7 by sub/itut+
 #ab = #ae4  7b7 ,con=m+ am5dm5t        
,section #djf ( ! ,dep>tm5t ( ,vet]ans  
,affairs ,expir+ ,au?orities ,act (     
#bjad 7,public ,law #aac-age2 #ch       
,u4,s4,c4 #cfhd note71 z am5d$ by       
section #daj ( ! ,dep>tm5t ( ,vet]ans   
,affairs ,expir+ ,au?orities ,act (     
#bjae 7,public ,law #aad-eh71 is h]eby  
repeal$4  ,pass$ ! ,s5ate ,novemb] #aj1 
#bjae4,secret>y